A report funded by the Robert Wood Johnson Foundation, as part of its Affordable Care Act (ACA) Implementation Monitoring and Tracking Series, analyzes coverage trends among children, parents and adults without dependent children as a guide to changes in coverage that could be expected in the coming years without ACA.
Authored by researchers at the Urban Institute, the report finds that from 2000 to 2010, there were pronounced declines in employer-sponsored insurance (ESI) among all non-elderly groups, with more substantial declines occurring among lower-income groups, and increased uninsurance rates for adults. As these trends persist across both periods of recession and recovery—both of which took place within the last decade—among all income groups, it is likely that without ACA, there would be continuing declines in ESI and increases in the number of uninsured. The authors note, however, that Medicaid and the Children’s Health Insurance Program (CHIP) were particularly effective at reducing the number of uninsured children, even during the recent economic downturn.
The authors conclude that parents and adults without dependent children are the two groups that stand to gain the most from both ACA’s Medicaid expansions and subsidized coverage available through state insurance exchanges. They add that if these coverage-related provisions are not implemented, the number of uninsured is predicted to grow significantly in the coming years.
This report is one in a series of briefs examining coverage trends among different groups targeted by ACA coverage expansions.
- 1. A Decade of Coverage Losses: Implications for the Affordable Care Act
- 2. Virtually Every State Experienced Deteriorating Access to Care for Adults Over the Past Decade
- 3. The Financial Burden of Medical Spending Among the Non-Elderly, 2010
- 4. Deteriorating Health Insurance Coverage from 2000 to 2010: Coverage Takes the Biggest Hit in the South and Midwest
- 5. Uninsurance is not Just a Minority Issue: White Americans Are a Large Share of the Growth from 2000 to 2010
- 6. Declining Health Insurance in Low-Income Working Families and Small Businesses
- 7. Trends in U.S. Health Care Spending Leading Up to Health Reform
ACA Implementation Monitoring and Tracking: Quantitative Analysis Reports
These reports examine health reform implementation issues ranging from Medicaid expansion to state insurance exchanges in all 50 states and the District of Columbia.View the series
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